Individual
SANDRA RODGIN
Active
Individual
SANDRA RODGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY32768
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT IN HEALTH CARE
—
Enumeration date
07/11/2019
Last updated
11/08/2021
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